Form 3-200-71 Federal Fish and Wildlife Permit Application Form - Eagl

WHAT YOU SHOULD KNOW ABOUT A FEDERAL
PERMIT FOR EAGLE TAKE NECESSARY TO PROTECT AN
INTEREST IN A PARTICULAR LOCALITY
A Federal permit for non-purposeful take of eagles authorizes disturbance or other take of eagles where
the take is not the purpose of the activity and is necessary to protect an interest in a particular locality.
You should review Title 50 Parts 10, 13, and 22.26 of the Code of Federal Regulations (CFR). You are
responsible for reviewing and understanding these regulations before you request and accept a
permit. These regulations can be found on our website at http://www.fws.gov/permits/ltr/ltr.html.
Below are questions and answers regarding some of the fundamentals of an eagle non-purposeful take
permit.
1. What is meant by “take” of eagles?
Under the Bald and Golden Eagle Protection Act, “take” is defined as “pursue, shoot, shoot at, poison,
wound, kill, capture, trap, collect, destroy, molest or disturb.” Most take authorized under this permit will
be in the form of disturbance. “Disturb” is defined in regulations as “to agitate or bother a bald or golden
eagle to a degree that causes, or is likely to cause, based on the best scientific information available: (1)
injury to an eagle, (2) a decrease in its productivity, by substantially interfering with normal breeding,
feeding, or sheltering behavior, or (3) nest abandonment, by substantially interfering with normal
breeding, feeding, or sheltering behavior.”
2. Can this permit be used for intentional take of eagles for any purposes?
No. This permit authorizes take only where the take cannot practicably be avoided in the course of an
otherwise lawful activity.
3. What species of eagles can be disturbed or otherwise taken under this permit?
This permit may authorize take of either species of eagles protected by the Bald and Golden Eagle
Protection Act (16 U.S.C. 668-668d): the bald eagle (Haliaeetus leucocephalus) and the golden eagle
(Aquila chrysaetos).
4. Under what circumstances can eagles be taken under this type of permit?
The Eagle Act authorizes the Secretary to permit take of eagles “necessary for the protection of… other
interests in any particular locality.” This statutory language accommodates a broad spectrum of public
and private interests (such as utility infrastructure development and maintenance, road construction,
operation of airports, commercial or residential construction, resource recovery, recreational use, etc.) that
might “take” eagles as defined under the Eagle Act. However, in all cases, the take must be necessary to
protect the interest, meaning that the interest cannot be protected without taking eagles despite
implementation of all practicable measures to avoid and minimize the impact to eagles.
5. Is a person who follows the National Bald Eagle Management Guidelines exempt from the
requirement to obtain this permit?
No. The Guidelines are basic recommendations the Service has provided to help minimize the potential
for disturbing bald eagles. However, those recommendations are fairly generalized and do not address
every type of activity. Furthermore, variable on-site conditions, the temperament of individual eagles, and
other factors, make it impossible to predict outcomes with certainty. Each situation is different. An
activity that is generally assessed as likely to disturb eagles will not always disturb them, and the presence
of a number of variables may affect the likelihood that take will occur. Because the Eagle Act requires a
that permit be issued in order for any Bald Eagle take to be authorized, the Service cannot “exempt” any

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activity that meets the definition of a “take.” In addition, because the Management Guidelines were
developed primarily to reduce disturbance, they contain few measures for avoiding or reducing injury or
mortality.
6. Are post-activity monitoring and reporting required?
Depending on the magnitude of the potential impacts to eagles, permittees may be required to monitor for
up to 3 years following completion of the activity for which the permit was issued. Unless the activity is
covered by a management plan that contains separate, adequate monitoring protocols, permittees must
submit an annual report containing all the information required by Service Form 3-202-15.
7. What will the Service do with information gathered from the permittee monitoring?
The Service can use the information to help assess whether future activities may result in loss of one or
more eagles, a decrease in productivity of bald or golden eagles, and/or the permanent abandonment or
loss of a nest site, communal roost site, or important foraging area. This information will allow the
Service to refine permit conditions and recommendations in future versions of eagle management
guidelines to minimize take of eagles.
8. What is a programmatic permit and when is it required?
Programmatic take is generally defined as take that is recurring and not in a specific, identifiable time
frame and/or location. The specific regulatory definition is “take that (1) is recurring, but not caused
solely by indirect effects, and (2) occurs over the long-term and/or in a location or locations that cannot
be specifically identified.”
Programmatic take permits may be issued to entities, such as electric utilities or transportation providers,
that may currently take eagles in the course of otherwise lawful activities but can work with the Service to
develop and implement additional, exceptionally comprehensive measures (“advanced conservation
practices” or “ACPs”) to reduce take to the level where any remaining take is essentially unavoidable. A
programmatic take permit may also be issued to State and Federal agencies that take eagles in the course
of their routine operations if they adopt such advanced conservation measures. There is no requirement
that a permit be programmatic; it is an option that is available in some circumstances. A programmatic
permit can, and often will, cover other take in addition to programmatic take.
9. Will mitigation measures be required?
All permittees will be required to avoid and minimize the potential for take to the degree practicable, and
for programmatic permits, to the point where take is unavoidable. Additional compensatory mitigation i
required for: (a) programmatic take and other multiple take authorizations; (b) disturbance associated with
the permanent loss of a breeding territory or important traditional communal roost site; or (c) as necessary
to off-set impacts to the local area population.
10. How long is an eagle non-purposeful take permit valid?
The duration of each permit depends on the nature and duration of the activity that is being conducted.
Permits for short-term disturbance or other take from a short-term activity will be issued can be issued for
up to 5 years. Programmatic take permits can be issued for up to 30 years.

11. How will the Service ensure adequate protection for eagles during the lifespans of longer-term
permits?
The rule enables the Service to incorporate ACPs and other conservation measures the permit holder
is required to implement if take exceeds predicted levels or if new information indicates that such
measures are necessary to meet the preservation standard. Permits for periods longer than five years
will be available only to applicants who commit to implementing these adaptive measures if
monitoring shows these measures are needed and likely to be effective. Any required adaptive

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management measures will be negotiated with the permittee and specified in the terms and conditions
of the permit.
12. Does this permit authorize possession of eagles for any purpose?
No. This permit does not authorize collection of live or dead eagles. You must promptly notify the
Service of any eagle(s) found injured or dead at the activity site, regardless of whether the injury or death
resulted from your activity. The Service will determine the disposition of such eagles.
13. Do I need additional authorization to take eagles from my State or tribal government?
State, tribal and local governments may have their own regulations protecting eagles. Your federal permit
is not valid unless you obtain and comply with all permits, licenses, or other authorizations required by
these jurisdictions that apply to your activity with respect to eagles.
14. How much are permit application processing fees for this permit?
For standard permits, the application processing fee is $500. For programmatic permits, the application
processing fee is $36,000. For programmatic permits with durations longer than 5 years, there is an
additional permit administration fee, based on the duration of the permits, to recover the Service
costs for monitoring and working with the permittees throughout the lives of the permits. The permit
administration fee is $2,600 for each five-year period the permit is in effect. The application
processing fee for programmatic permits for low-risk projects that are expected to have relatively low
effects on eagles is $8,000.
15. How long does it take to get a permit for non-purposeful take of eagles?
The time needed by the Service to process a permit application depends on the complexity and scope of
the activity and associated take, whether tribal consultation is warranted, what other environmental
analyses may be required and other factors. In general, applicants may expect the following approximate
permit processing times from the time we receive a complete application:
Standard permit
Standard or programmatic permit requiring an environmental assessment
Standard or programmatic permit with EIS

90 days
4 to 6 months
18 to 24 months

16. How do I renew my permit?
Except for programmatic permits, this type of permit should not typically be subject to renewal
considerations, because, in general, standard permits issued under these regulations authorize a limited
amount of take, resulting from a specific activity that occurs in an identifiable time-frame. However, a
renewal letter or form and annual report form will be sent to you at least 60 days prior to the expiration of
your permit (partially as a reminder that your permit is due to expire). If you wish to renew your permit,
you must return the completed renewal to your Regional Migratory Bird Permit Office at least 30 days
prior to the expiration of your permit and include copies of any other permits required by your State, tribe,
or other jurisdiction. If we receive your renewal request at least 30 days prior to the expiration of your
permit, your permit will remain valid beyond the expiration date for the activity authorized on your
permit until a decision on your renewal is made. If we receive your renewal request fewer than 30 days
prior to expiration of your permit and we are unable to process your request before the expiration date,
your permit will expire and you will no longer be covered for your activity. If you allow your permit to
expire before requesting renewal, you may be required to submit a new application. (See 50 CFR 13.22
and 13.11(c)).

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Department of the Interior
U.S. Fish and Wildlife Service

OMB Control No. 1018 - 0022
Expires

Federal Fish and Wildlife Permit Application Form
Click here for addresses.

Return to: U.S. Fish and Wildlife Service (USFWS)

Type of Activity:

Eagle Take – Associated With
But Not the Purpose of an Activity

 New Application
 Requesting Renewal or Amendment of Permit # __________________
Complete Sections A or B, and C, D, and E of this application. U.S. address may be required in Section C, see instructions for details.
See attached instruction pages for information on how to make your application complete and help avoid unnecessary delays.

A.

Complete if applying as an individual

1.a. Last name

1.b. First name

1.c. Middle name or initial

1.d. Suffix

2. Date of birth (mm/dd/yyyy)

3. Social Security No.

4. Occupation

5. Affiliation/ Doing business as (see instructions)

6.a. Telephone number

6.b. Alternate telephone number

6.c. Fax number

6.d. E-mail address

B.

Complete if applying on behalf of a business, corporation, public agency, Tribe, or institution

1.a. Name of business, agency, tribe, or institution

1.b. Doing business as (dba)

2. Tax identification no.

3. Description of business, agency, or institution

4.a. Principal officer Last name

4.b. Principal officer First name

5. Principal officer title

4.c. Principal officer Middle name/ initial

4.d. Suffix

6. Primary contact name

7.a. Business telephone number

7.b. Alternate telephone number

C.

7.c. Business fax number

7.d. Business e-mail address

All applicants complete address information

1.a. Physical address (Street address; Apartment #, Suite #, or Room #; no P.O. Boxes)
1.b. City

1.c. State

1.d. Zip code/Postal code:

1.e. County/Province

1.f. Country

2.a. Mailing Address (include if different than physical address; include name of contact person if applicable)
2.b. City

2.c. State

2.d. Zip code/Postal code:

2.e. County/Province

2.f. Country

D.

All applicants MUST complete

1.

Attach check or money order payable to the U.S. FISH AND WILDLIFE SERVICE in the amount of (see attached fee schedule) nonrefundable processing fee..
Federal, Tribal, State, and local government agencies, and those acting on behalf of such agencies, are exempt from the processing fee – attach documentation of fee
exempt status as outlined in instructions. (50 CFR 13.11(d))
Do you currently have or have you ever had any Federal Fish and Wildlife permits?
Yes  If yes, list the number of the most current permit you have held or that you are applying to renew/re-issue: _________________
No 

2.
3.

Certification: I hereby certify that I have read and am familiar with the regulations contained in Title 50, Part 13 of the Code of Federal Regulations and the other
applicable parts in subchapter B of Chapter I of Title 50, and I certify that the information submitted in this application for a permit is complete and accurate to the
best of my knowledge and belief. I understand that any false statement herein may subject me to the criminal penalties of 18 U.S.C. 1001.
______________________________________________________________________________________________________________________
Signature (in blue ink) of applicant/person responsible for permit (No photocopied or stamped signatures)
Date of signature (mm/dd/yyyy)

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Form 3-200-71

Rev. 12/2013

Page 1of 6

SECTION E.

EAGLE TAKE – ASSOCIATED WITH BUT NOT THE PURPOSE OF AN ACTIVITY
(EAGLE NON-PURPOSEFUL TAKE)
(Bald and Golden Eagle Protection Act, 50 CFR 22.26)

Note: A Federal eagle non-purposeful take permit authorizes the disturbance or other take of eagles where the take results from
but is not the purpose of an otherwise lawful activity. Permits are available to individuals, agencies, businesses, and other
organizations. This permit does not authorize possession of any eagle, eagle parts, or eagle nests. Please read “What You Should
Know About a Federal Permit for Non-Purposeful Eagle Take” and the pertinent regulations at 50 CFR 22.26 before you sign and
submit your application.
Please provide the information requested below on a separate sheet of paper. You should be as thorough and specific as possible in
your responses. Incomplete applications will be returned, delayed or abandoned. Processing time depends on the complexity of
the request and completeness of the application.
Although you may submit supplemental documents that contain the required information, you must respond to each application
requirement below specifically in a single attachment that includes all and only the information required by the application.
Enumerate each response in accordance with the question numbers below. Please do not send pages that are over 8.5” x 11” or
DVDs.
1.
2.
3.
4.
5.
6.
7.
8.

9.
10.
11.
12.
13.

The name and contact information for any U.S. Fish and Wildlife Service employee(s) who has provided technical assistance or
worked with you on this project.
The species and number of eagles that are likely to be taken and the likely form of that take (e.g., disturbance, other take).
The dates the activity will start and is projected to end. If the project has begun, describe the stage of progress.
A detailed description of the activity that will likely cause the disturbance or other take of eagles.
An explanation of why the take of eagles is necessary, including what interests will be protected by the project or activity.
Maps, digital photographs, county/city information, and latitude/longitude geographic coordinates of the proposed activity.
Maps, digital photographs, county/city information, and latitude/longitude geographic coordinates of eagle-use areas in the
vicinity of the activity, including nest site(s), roost areas, foraging areas, and known migration paths. Provide the specific distance
and locations of nests and other eagle-use areas from the project footprint.
If the projected take of eagles is in the form of disturbance, answer the following two questions:
a. Will the activity be visible to eagles in the eagle-use areas, or are there visual buffers such as screening vegetation or
topography that blocks the view?
b. What is the extent of existing activities in the vicinity that are similar in nature, size, and use to your activity, and if so, what is
the distance between those activities and the important eagle use areas
A detailed description of all avoidance and minimization measures that you have incorporated into your planning for the activity
that you will implement to reduce the likelihood of take of eagles.
You must retain records relating to the activities conducted under your permit for at least 5 years from the date of expiration of the
permit. Please provide the address where these records will be kept.
Any permit issued as a result of this application is not valid unless you also have any required State or Tribal permits associated
with the activity. Have you obtained all required State or Tribal permits or approvals to conduct this activity? Indicate “Yes,”
Have applied,” or None Required.” If “Yes,” attach a copy of the approval(s). If “Have applied,” submit a copy when issued.
If you have received technical assistance for your project from your State wildlife agency, please provide the name and contact
information for the individual(s).
Disqualification factor. A conviction, or entry of a plea of guilty or nolo contendere, for a felony violation of the Lacey Act, the
Migratory Bird Treaty Act, or the Bald and Golden Eagle Protection Act disqualifies any such person from receiving or exercising
the privileges of a permit, unless such disqualification has been expressly waived by the Service Director in response to a written
petition. (50 CFR 13.21(c)) Have you or any of the owners of the business, if applying as a business, been convicted, or entered a
plea of guilty or nolo contendere, forfeited collateral, or are currently under charges for any violations of the laws mentioned
above? Indicate “Yes” or “No.” If you answered “Yes” provide: a) the individual’s name, b) date of charge, c) charge(s), d)
location of incident, e) court, and f) action taken for each violation.

Form 3-200-71

Rev. 12/2013

Page 2 of 6

Type of Permit

*

*

*

*

*

*

CFR
Citation

Permit
Application
Fee

Amendment
Fee

50

*
Bald and Golden Eagle Protection Act

Eagle Scientific Collecting

50 CFR part 22

100

Eagle Exhibition

50 CFR part 22

75

Eagle Falconry

50 CFR part 22

100

Eagle—Native American Religion

50 CFR part 22

No fee

Eagle Take permits—Depredation and
Protection of Health and Safety

50 CFR part 22

100

Golden Eagle Nest Take

50 CFR part 22

100

Eagle Transport—Scientific or Exhibition

50 CFR part 22

75

Eagle Transport—Native American Religious
Purposes

50 CFR part 22

No fee

Eagle Incidental Take—Up to 5 years

50 CFR part 22

2,500

500

Eagle Incidental Take—Homeowner

50 CFR part 22

500

150

Eagle Incidental Take—5–30 years

50 CFR part 22

36,000

Eagle Incidental Take—Transfer of a permit

50 CFR part 22

1,000

Eagle Nest Take—Single nest

50 CFR part 22

2,500

500

Eagle Nest Take—Multiple nests

50 CFR part 22

5,000

500

Eagle Nest Take—Homeowner

50 CFR part 22

500

150

Eagle Take—Exempted under ESA

50 CFR part 22

No fee

*

*

*

*

*

*

*

50

PERMIT APPLICATION FORM INSTRUCTIONS
The following instructions pertain to an application for a U.S. Fish and Wildlife Service or CITES permit. The General Permit Procedures in 50
CFR 13 address the permitting process. For simplicity, all licenses, permits, registrations, and certificates are referred to as a permit.
GENERAL INSTRUCTIONS:
•
Complete all blocks/lines/questions in Sections A or B, and C, D, and E.
•
An incomplete application may cause delays in processing or may be returned to the applicant. Be sure you are filling in the
appropriate application form for the proposed activity.
•
Print clearly or type in the information. Illegible applications may cause delays.
•
Sign the application in blue ink. Faxes or copies of the original signature will not be accepted.
•
Mail the original application to the address at the top of page one of the application or if applicable on the attached address list.
•
Keep a copy of your completed application.
•
Please plan ahead. Allow at least 60 days for your application to be processed. Some applications may take longer than 90 days to
process. (50 CFR 13.11)
•
Applications are processed in the order they are received.
•
Additional forms and instructions are available from http://permits.fws.gov/.
COMPLETE EITHER SECTION A OR SECTION B:
Section A. Complete if applying as an individual:
•
Enter the complete name of the responsible individual who will be the permittee if a permit is issued. Enter personal information that
identifies the applicant. Fax and e-mail are not required if not available.
•
If you are applying on behalf of a client, the personal information must pertain to the client, and a document evidencing power of attorney
must be included with the application.
•
Affiliation/ Doing business as (dba): business, agency, organizational, or institutional affiliation directly related to the activity requested
in the application (e.g., a taxidermist is an individual whose business can directly relate to the requested activity). The Division of
Management Authority (DMA) will not accept doing business as affiliations for individuals.
Section B. Complete if applying as a business, corporation, public agency, Tribe, or institution:
•
Enter the complete name of the business, agency, Tribe, or institution that will be the permittee if a permit is issued. Give a brief
description of the type of business the applicant is engaged in. Provide contact phone number(s) of the business.
•
Principal Officer is the person in charge of the listed business, corporation, public agency, Tribe, or institution. The principal officer is
the person responsible for the application and any permitted activities. Often the principal officer is a Director or President. Primary
Contact is the person at the business, corporation, public agency, Tribe, or institution who will be available to answer questions about the
application or permitted activities. Often this is the preparer of the application.
ALL APPLICANTS COMPLETE SECTION C:
•
For all applications submitted to the Division of Management Authority (DMA) a physical U.S. address is required. Province and
Country blocks are provided for those USFWS programs which use foreign addresses and are not required by DMA.
•
Mailing address is address where communications from USFWS should be mailed if different than applicant’s physical address.
ALL APPLICANTS COMPLETE SECTION D:
Section D.1 Application processing fee:
•
An application processing fee is required at the time of application; unless exempted under 50 CFR13.11(d)(3). The application
processing fee is assessed to partially cover the cost of processing a request. The fee does not guarantee the issuance of a permit. Fees
will not be refunded for applications that are approved, abandoned, or denied. We may return fees for withdrawn applications prior to
any significant processing occurring.
•
Documentation of fee exempt status is not required for Federal, Tribal, State, or local government agencies; but must be supplied by
those applicants acting on behalf of such agencies. Those applicants acting on behalf of such agencies must submit a letter on agency
letterhead and signed by the head of the unit of government for which the applicant is acting on behalf, confirming that the applicant will
be carrying out the permitted activity for the agency.
Section D.2 Federal Fish and Wildlife permits:
•
List the number(s) of your most current FWS or CITES permit or the number of the most recent permit if none are currently valid. If
applying for re-issuance of a CITES permit, the original permit must be returned with this application.
Section D.3 CERTIFICATION:
•
The individual identified in Section A, the principal officer named in Section B, or person with a valid power of attorney
(documentation must be included in the application) must sign and date the application in blue ink. This signature binds the applicant
to the statement of certification. This means that you certify that you have read and understand the regulations that apply to the permit.
You also certify that everything included in the application is true to the best of your knowledge. Be sure to read the statement and re-read
the application and your answers before signing.
ALL APPLICANTS COMPLETE SECTION E.

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Form 3-200-71

Rev. 12/2013

Page 4 of 6

APPLICATION FOR A FEDERAL FISH AND WILDLIFE PERMIT
Paperwork Reduction Act, Privacy Act, and Freedom of Information Act – Notices
In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3501, et seq.) and the Privacy Act of 1974 (5 U.S.C. 552a), please be advised:
1.

The gathering of information on fish and wildlife is authorized by:
(Authorizing statutes can be found at: http://www.gpoaccess.gov/cfr/index.html and http://www.fws.gov/permits/ltr/ltr.html.)
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.

Bald and Golden Eagle Protection Act (16 U.S.C. 668), 50 CFR 22;
Endangered Species Act of 1973 (16 U.S.C. 1531-1544), 50CFR 17;
Migratory Bird Treaty Act (16 U.S.C. 703-712), 50 CFR 21;
Marine Mammal Protection Act of 1972 (16 U.S.C. 1361, et. seq.), 50 CFR 18;
Wild Bird Conservation Act (16 U.S.C. 4901-4916), 50 CFR 15;
Lacey Act: Injurious Wildlife (18 U.S.C. 42), 50 CFR 16;
Convention on International Trade in Endangered Species of Wild Fauna and Flora (TIAS 8249), http://www.cites.org/ , 50 CFR 23;
General Provisions, 50 CFR 10;
General Permit Procedures, 50 CFR 13; and
Wildlife Provisions (Import/export/transport), 50 CFR 14.

2.

Information requested in this form is purely voluntary. However, submission of requested information is required in order to process applications for
permits authorized under the above laws. Failure to provide all requested information may be sufficient cause for the U.S. Fish and Wildlife Service
to deny the request. We may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a currently
valid OMB control number.

3.

Certain applications for permits authorized under the Endangered Species Act of 1973 (16 U.S.C. 1539) and the Marine Mammal Protection Act of 1972
(16 U.S.C. 1374) will be published in the Federal Register as required by the two laws.

4.

Disclosures outside the Department of the Interior may be made without the consent of an individual under the routine uses listed below, if the
disclosure is compatible with the purposes for which the record was collected. (Ref. 68 FR 52611, September 4, 2003)
a.
b.
c.
d.
e.

f.
g.
h.
i.
j.

Routine disclosure to subject matter experts, and Federal, Tribal, State, local, and foreign agencies, for the purpose of obtaining advice relevant to
making a decision on an application for a permit or when necessary to accomplish an FWS function related to this system of records.
Routine disclosure to the public as a result of publishing Federal Register notices announcing the receipt of permit applications for public comment
or notice of the decision on a permit application.
Routine disclosure to Federal, Tribal, State, local, or foreign wildlife and plant agencies for the exchange of information on permits granted or denied
to assure compliance with all applicable permitting requirements.
Routine disclosure to Captive-bred Wildlife registrants under the Endangered Species Act for the exchange of authorized species, and to share
information on the captive breeding of these species.
Routine disclosure to Federal, Tribal, State, and local authorities who need to know who is permitted to receive and rehabilitate sick, orphaned, and
injured birds under the Migratory Bird Treaty Act and the Bald and Golden Eagle Protection Act; federally permitted rehabilitators; individuals seeking
a permitted rehabilitator with whom to place a bird in need of care; and licensed veterinarians who receive, treat, or diagnose sick, orphaned, and
injured birds.
Routine disclosure to the Department of Justice, or a court, adjudicative, or other administrative body or to a party in litigation before a court or
adjudicative or administrative body, under certain circumstances.
Routine disclosure to the appropriate Federal, Tribal, State, local, or foreign governmental agency responsible for investigating, prosecuting, enforcing,
or implementing statutes, rules, or licenses, when we become aware of a violation or potential violation of such statutes, rules, or licenses, or when we
need to monitor activities associated with a permit or regulated use.
Routine disclosure to a congressional office in response to an inquiry to the office by the individual to whom the record pertains.
Routine disclosure to the Government Accountability Office or Congress when the information is required for the evaluation of the permit programs.
Routine disclosure to provide addresses obtained from the Internal Revenue Service to debt collection agencies for purposes of locating a debtor
to collect or compromise a Federal claim against the debtor or to consumer reporting agencies to prepare a commercial credit report for use by
the FWS.

5. For individuals, personal information such as home address and telephone number, financial data, and personal identifiers (social security number, birth
date, etc.) will be removed prior to any release of the application.
6. The public reporting burden on the applicant for information collection varies depending on the activity for which a permit is requested. The relevant
burden for an Eagle Non-Purposeful Take (standard) permit application is 16 hours, and 6 hours for a standard amendment. For an Eagle NonPurposeful Take (programmatic) permit application, the relevant burden is 452 hours and70 hours for an amendment. This burden estimate includes
time for reviewing instructions, gathering and maintaining data and completing and reviewing the form. You may direct comments regarding the
burden estimate or any other aspect of the form to the Service Information Clearance Officer, U.S. Fish and Wildlife Service, Mail Stop 222, Arlington
Square, U.S. Department of the Interior, 1849 C Street, NW, Washington D.C. 20240.
Freedom of Information Act – Notice
For organizations, businesses, or individuals operating as a business (i.e., permittees not covered by the Privacy Act), we request that you identify any
information that should be considered privileged and confidential business information to allow the Service to meet its responsibilities under FOIA.
Confidential business information must be clearly marked "Business Confidential" at the top of the letter or page and each succeeding page and must be
accompanied by a non-confidential summary of the confidential information. The non-confidential summary and remaining documents may be made
available to the public under FOIA [43 CFR 2.26 – 2.33].
Form 3-200-71

Rev. 12/2013

Page 5 of 6

Migratory Bird Regional Permit
Offices
FWS
REGION

AREA OF
RESPONSIBILITY

MAILING
ADDRESS

CONTACT
INFORMATION

Region 1

Hawaii, Idaho, Oregon,
Washington

911 N.E. 11th Avenue
Portland, OR 97232-4181

Tel. (503) 872-2715
Fax (503) 231-2019
Email [email protected]

Region 2

Arizona, New Mexico,
Oklahoma, Texas

P.O. Box 709
Albuquerque, NM 87103

Tel. (505) 248-7882
Fax (505) 248-7885
Email [email protected]

Region 3

Iowa, Illinois, Indiana,
Minnesota, Missouri,
Michigan, Ohio, Wisconsin

5600 American Blvd. West
Suite 990
Bloomington, MN
55437-1458
(Effective 5/31/2011)

Tel. (612) 713-5436
Fax (612) 713-5393
Email [email protected]

Alabama, Arkansas, Florida,
Georgia, Kentucky, Louisiana,
Mississippi, North Carolina,
South Carolina, Tennessee,
Virgin Islands, Puerto Rico

P.O. Box 49208
Atlanta, GA 30359

Tel. (404) 679-7070
Fax (404) 679-4180
Email [email protected]

Region 5

Connecticut, District of
Columbia, Delaware, Maine,
Maryland, Massachusetts,
New Hampshire, New Jersey,
New York, Pennsylvania,
Rhode Island, Virginia,
Vermont, West Virginia

P.O. Box 779
Hadley, MA 01035-0779

Tel. (413) 253-8643
Fax (413) 253-8424
Email [email protected]

Region 6

Colorado, Kansas, Montana,
North Dakota, Nebraska,
South Dakota, Utah, Wyoming

P.O. Box 25486
DFC(60154)
Denver, CO 80225-0486

Tel. (303) 236-8171
Fax (303) 236-8017
Email [email protected]

Region 7

Alaska

1011 E. Tudor Road
(MS-201)
Anchorage, AK 99503

Tel. (907) 786-3693
Fax (907) 786-3641
Email [email protected]

Region 4

Region 8

Form 3-200-71

California, Nevada

Rev. 12/2013

2800 Cottage Way
Room W-2606
Sacramento, CA 95825

Tel. (916) 978-6183
Fax (916) 414-6486
[email protected]

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